Dialogue Volume 14 Issue 3 2018 - Page 49

DISCIPLINE SUMMARIES FAILURE TO MAINTAIN THE STANDARD OF PRACTICE OF THE PROFESSION Review of Patient Charts The College expert who reviewed the patient charts in respect of Patient D and others concluded that Dr. Sweet failed to maintain the standard of practice of the profession in respect of 15 of the 25 patients whose charts were reviewed. Dr. Sweet’s expert concluded that Dr. Sweet failed to maintain the standard of practice of the profes- sion in his care and treatment of Patient F, the person about whom the community social worker had con- tacted the College on February 25, 2015. Reassessment Pursuant to August 16, 2013 Undertaking As a result of a prior College process, Dr. Sweet entered into an undertaking dated August 16, 2013, requiring him to undergo a period of clinical supervi- sion for six months, followed by a reassessment of his practice. The College assessor, a different family physi- cian from the College expert who reviewed the patient charts in respect of Patient D and others, reviewed an additional 25 patient charts and concluded that Dr. Sweet failed to maintain the standard of practice of the profession in respect to 15 patients, in that: • Dr. Sweet failed to document a patient encounter with Patient G at which an injection was adminis- tered and at which he prescribed a medication. • Dr. Sweet did not provide adequate preventative care and failed to adequately work up or manage Patient H’s diagnosis of reflex sympathetic dystrophy. • Dr. Sweet failed to document that he discussed the risks and side effects of prescribing Imovane, a sedative, as a sleep aid to Patient I who was a 90-year-old patient with poor mobility requiring the use of a cane and had a history of pelvic frac- ture due to fall. • Dr. Sweet’s charting and documentation in relation to Patient J had inconsistencies, including two dif- ferent chart notes for the same clinical encounter. • D  r. Sweet’s charting and documentation in relation to Patient K was inconsistent and he prescribed Myrbe- triq for enuresis to this 9-year-old patient at a time when Myrbetriq was not approved for use in children. • Dr. Sweet’s pediatric patient’s immunizations for Pa- tient L were incomplete or incompletely documented. • Dr. Sweet failed to investigate and rule out a possible G.I. source for Patient M’s anemia, in circumstances where the patient may have had a hysterectomy. Dr. Sweet’s expert reviewed the same patient charts and agreed with the College assessor that Dr. Sweet failed to maintain the standard of practice of the profession with respect to three patients (Patients I, K, and M). Dr. Sweet’s assessor further opined that Dr. Sweet may have failed to maintain the standard of practice of the profession in that: • Dr. Sweet prescribed to Patient N a year-long course of Wellbutrin, an anti-depressant ten days after she had been assessed in the emergency room for depression and without a clinical encounter at the time of the prescription. • Dr. Sweet’s pediatric patient’s (Patient O) immuniza- tions were incomplete or incompletely documented. On July 12, 2017, Dr. Sweet signed an undertak- ing and agreed to resign from the College effective immediately and not to apply or re-apply for registra- tion as a physician to practise medicine in Ontario or any other jurisdiction. ORDER In light of the undertaking to resign and to not re- apply, the Discipline Committee ordered that Dr. Sweet attend before the panel to be reprimanded and pay costs to the College in the amount of $5,500. For complete details, please see the full decision at www.cpso.on.ca. Select Find a Doctor and enter the doctor’s name. At the conclusion of the hearing, Dr. Sweet waived his right to an appeal. Dr. Sweet was not present at the hearing. The Committee will administer the reprimand on a date that Dr. Sweet is available. ISSUE 3, 2018 DIALOGUE 49